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“Top Twenty” Session Review for Mechanical Ventilation Concepts What you should remember from the Fall… RET 2264C-12.

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Presentation on theme: "“Top Twenty” Session Review for Mechanical Ventilation Concepts What you should remember from the Fall… RET 2264C-12."— Presentation transcript:

1 “Top Twenty” Session Review for Mechanical Ventilation Concepts What you should remember from the Fall… RET 2264C-12

2 Question # 1 What happens to Alveolar PCO2, PO2 and, Arterial pH, PCO2, PO2 as spontaneous Alveolar Ventilation drops from 4.2L/min to 3L/min? What happens to Alveolar PCO2, PO2 and, Arterial pH, PCO2, PO2 as spontaneous Alveolar Ventilation drops from 4.2L/min to 3L/min?

3 Please make your selection... 15 1. PaCO 2 ↑s, pH ↓s, PaO 2 ↓s 2. PaO 2 ↑s ; pH does not Δ 3. pH ↑s, PaCO 2 ↓s 4. SvO2 ↑s

4 Remember the Basics

5 Question # 2 All of the following are controls for PCV mode used in Pediatric Ventilation except? All of the following are controls for PCV mode used in Pediatric Ventilation except?

6 Please make your selection... 10 1. Tidal Volume 2. Inspiratory Time 3. Peak Airway Pressure 4. Expiratory Time or f

7 Question # 3 What is the best indicator of appropriate alveolar Ventilation for a Mechanically Ventilated Pt.? What is the best indicator of appropriate alveolar Ventilation for a Mechanically Ventilated Pt.?

8 Please make your selection... 10 1. PaCO 2 2. PaO 2 3. pH 4. SaO2

9 Question # 4 Define Lung Compliance using appropriate units: Define Lung Compliance using appropriate units:

10 Please make your selection... 15 1. mm Hg/ liter/sec. 2. cm H 2 O / liter/ sec. 3. ml /cm H 2 O 4. cm H2O/ liter

11 Question # 5 Airways resistance is defined as _____? Airways resistance is defined as _____?

12 Please make your selection... 15 1. PIP - PEEP 2. PIP + Ppl 3. 3. Flow / PIP 4. 4. PIP- Ppl / Flow

13 Question # 6 How is the delivered tidal volume determined for a premature neonate requiring mech. vent. ?

14 Please make your selection... 15 1. Compliance & Raw 2. Tidal Volume Control 3. 12 ml/kg 4. CXR

15 Question # 7 What controls are used to decrease the PaCO2 on a pediatric pt using Mechanical Ventilation with PCV? All of the following are appropriate except? What controls are used to decrease the PaCO2 on a pediatric pt using Mechanical Ventilation with PCV? All of the following are appropriate except?

16 Please make your selection... 1. Increase FIO 2 2. Increase T I 3. Increase PIP 4. Increase f 15

17 Question # 8 Managing Oxygenation is a more complex issue than managing Alveolar Ventilation. Primary Ventilator Controls for oxygenation include all of the following except?

18 Please make your selection... 10 1. FIO 2 2. PEEP 3. MAP 4. Sensitivity

19 Question # 9 What is significant about distribution of tidal volume and with a positive pressure breath?

20 Please make your selection... 15 1. As FRC increases distribution of ventilation increases 2. The Supine position enhances bi- basilar compliance 3. As Peak flow increases Raw decreases 4. Compliance increases in the dependent lung segments

21 Question # 10 TITI + TETE = ?

22 Please make your selection... 10 1. I:E ratio 2. TCT 3. f 4. PIP

23 Question # 11 Identify the appropriate Press/Time waveform for pt. trigger of the mechanical breath: Identify the appropriate Press/Time waveform for pt. trigger of the mechanical breath:

24 Please make your selection... 10 1. A 2. B 3. C 4. D

25 Question # 12 Identify the appropriate Press/Time waveform for Ppl of the mechanical breath: Identify the appropriate Press/Time waveform for Ppl of the mechanical breath:

26 Please make your selection... 10 1. A 2. B 3. C 4. D

27 Question # 13 Identify the appropriate Press/Time waveform for the cycling transition of the mechanical breath: Identify the appropriate Press/Time waveform for the cycling transition of the mechanical breath:

28 Please make your selection... 10 1. A 2. B 3. C 4. D

29 Question # 14 Identify the appropriate adjustment to increase if “Auto peep” is detected when analyzing the Flow scalar: Identify the appropriate adjustment to increase if “Auto peep” is detected when analyzing the Flow scalar:

30 Please make your selection... 15 1. Tidal Volume 2. T I 3. Expiratory Time 4. PIP

31 Question # 15 Identify what is meant by the term control panel (or user interface). How does this feature vary from older to more modern ventilators? Identify what is meant by the term control panel (or user interface). How does this feature vary from older to more modern ventilators?

32 Please make your selection... 20 1. Newer Ventilators include a CRT screen with active controls and wave form displays 2. Newer vents may have closed circuit logic enabling adjustments of control variables 3. Newer ventilators are capable of multiple waveform 4. All of the above are correct

33 Question # 16 Consider the three control variables for M.V. Which control is used predominantly for adult mechanical ventilation? Consider the three control variables for M.V. Which control is used predominantly for adult mechanical ventilation?

34 Please make your selection... 10 1. Flow Control 2. Pressure Support 3. Volume Control 4. Pressure Control

35 Question # 17 Consider the three control variables for M.V. Which control is used predominantly for neonatal mechanical ventilation? Consider the three control variables for M.V. Which control is used predominantly for neonatal mechanical ventilation?

36 Please make your selection... 10 1. Flow Control 2. Pressure Support 3. Volume Control 4. Pressure Control

37 Question # 18 Which of the following assessments, made at the bedside, is not appropriate to determine if Mechanical Ventilation is indicated? Which of the following assessments, made at the bedside, is not appropriate to determine if Mechanical Ventilation is indicated?

38 Please make your selection... 15 1. Maximum Inspiratory Pressure or NIF 2. ABG’s 3. Cyanotic Index 4. Vital Capacity

39 Question # 19 The Rapid Shallow Breathing Index (RSBI) is used in Clinic to evaluate a pt’s ability to maintain spontaneous ventilation. What is measured by this index? The Rapid Shallow Breathing Index (RSBI) is used in Clinic to evaluate a pt’s ability to maintain spontaneous ventilation. What is measured by this index?

40 Please make your selection... 15 1. Maximum Inspiratory Pressure or NIF 2. SaO 2 / PaO 2 3. f/V T ratio 4. A-a DO 2

41 Question # 20 All of the following are primary objectives of Mechanical Ventilation except: All of the following are primary objectives of Mechanical Ventilation except:

42 Please make your selection... 15 1. Reduce the WOB in Hypoxemic R.F. 2. Improve Alveolar Ventilation in Hypercapnic R.F. 3. Reverse Metabolic Acidosis 4. Improve Oxygenation

43 Next let’s begin to understand the basis for the Basic Modes of Ventilation

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